x
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ANNUAL
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF
1934
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¨
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TRANSITION
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF
1934
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Delaware
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13-3419202
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(State
of Incorporation)
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(I.R.S.
Employer Identification
Number)
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Title of each class
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Name of each exchange on which registered
|
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Common
Stock, par value $0.33 per share
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OTC
Bulletin Board
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Large accelerated filer ¨
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Accelerated filer ¨
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Non-accelerated filer ¨
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Smaller Reporting Company x
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Page
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PART
III
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Item
10.
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Directors
and Executive Officers of the Registrant
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1
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Item
11.
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Executive
Compensation
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3
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Item
12.
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Security
Ownership of Certain Beneficial Owners and Management and Related
Stockholder Matters
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12
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Item
13.
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Certain
Relationship and Related Transactions
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14
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Item
14.
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Principal
Accounting Fees and Services
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15
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PART
IV
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|||
Item
15.
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Exhibits,
Financial Statement Schedules
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16
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SIGNATURES
|
17
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Name
|
Age
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Position (s)
|
||
Steven
H. Kane (1)(2)(3)
|
56
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Chairman of the Board of Directors
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||
David I. Bruce
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49
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President, Chief Executive Officer and Director
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||
John
Francis
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43
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Director
|
||
Louis
Glazer, M.D., Ph.G. (2)
|
78
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Director
|
||
Herbert
Langsam (2)
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78
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Director
|
||
Wenchen
Lin
|
|
53
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|
Director
|
(1)
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Member
of our Audit Committee
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(2)
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Member
of our Compensation Committee
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(3)
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Member
of our Nominating Committee
|
|
·
|
junk
mail and mass mailings;
|
|
·
|
resumes
and other forms of job inquires;
|
|
·
|
surveys;
or
|
|
·
|
solicitations
or advertisement.
|
Name
|
Age
|
Position (s)
|
||
Mary
A. Lay
|
52
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Interim Chief Financial Officer, Principal Accounting Officer
|
||
and Corporate Secretary
|
||||
Brian Stewart
|
|
37
|
|
Vice President, Business Development
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Steven
H. Kane
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David
I. Bruce
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John
Francis
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Dr.
Louis Glazer
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Herbert
Langsam
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Wenchin
Lin
|
|
·
|
provides
competitive total compensation consisting primarily of cash and
stock,
|
|
·
|
allows
our officer’s to participate in the benefit programs that we offer to all
full-time employees,
|
|
·
|
provides
certain officer’s to receive additional fringe
benefits,
|
|
·
|
differentiates
rewards based on the officer’s contributions to company performance,
and
|
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·
|
encourages
our named executive officers to act as owners with an equity interest in
Patient Safety.
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|
·
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The
chief executive officer’s historical
earnings,
|
|
·
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a
market competitive assessment of similar roles at other
companies,
|
|
·
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the
earnings of other named executive officers,
and
|
|
·
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an
evaluation of the chief executive officer’s performance for the fiscal
year.
|
|
·
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The
executive’s historical earnings,
|
|
·
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a
market competitive assessment of similar roles at other
companies,
|
|
·
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internal
comparisons to the compensation of other
executives,
|
|
·
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evaluations
of performance for the fiscal year,
and
|
|
·
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the
chief executive officer’s recommendations for each named executive
officer’s base pay, and bonus
amounts.
|
|
·
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As
a package, these types of programs are typically offered by the types of
companies from which we would seek executive
talent.
|
|
·
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As
a package, these particular programs provide both a current and a long
term incentive for the executive officers, thereby aligning the
executives’ interests with
shareholders.
|
|
·
|
These
programs, as a package, provide the executives with short and long-term
rewards; this serves as a retention, as well as a motivational, device for
the executives.
|
|
·
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an
incentive to join the Company, based on compensation that is being
forfeited through the termination of previous
employment,
|
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·
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to
encourage retention of critical
talent,
|
|
·
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as
a strategic investment in someone deemed critical to the Company’s
leadership, and
|
|
·
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to
reward outstanding performance
|
|
·
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They
can realize additional income if our shares increase in value,
and
|
|
·
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They
have no personal income tax impact until they exercise the
options
|
Name and principal
position
|
Year
|
Salary
($)
|
Bonus
($)
|
Stock
Awards
($)(8)
|
Option
&
Warrant
Awards
($)(8)
|
Non-Equity
Incentive Plan
Compensation
($)
|
Nonqualified
Deferred
Compensation
Earnings ($)
|
All Other
Compensation
($) (9)
|
Total
($)
|
|||||||||||||||||||||||||
William
B. Horne,
|
||||||||||||||||||||||||||||||||||
Former
Chief
|
2008
|
131,429 | - | - | 469,653 | - | - | - | 601,082 | |||||||||||||||||||||||||
Executive
& Chief
|
2007
|
218,750 | - | 30,991 | 30,896 | - | - | - | 280,637 | |||||||||||||||||||||||||
Financial Officer
(1)
|
||||||||||||||||||||||||||||||||||
Bill
Adams,
|
||||||||||||||||||||||||||||||||||
Former
President &
|
2008
|
312,500 | - | - | 646,381 | - | - | 11,480 | 970,361 | |||||||||||||||||||||||||
Chief
Executive
|
2007
|
312,500 | - | - | 29,148 | - | - | - | 341,648 | |||||||||||||||||||||||||
Officer
of
|
||||||||||||||||||||||||||||||||||
SurgiCount
(2)
|
||||||||||||||||||||||||||||||||||
Richard
Bertran,
|
||||||||||||||||||||||||||||||||||
Former
President of
|
2008
|
260.417 | - | - | 421,788 | - | - | 12.343 | 694,548 | |||||||||||||||||||||||||
SurgiCount(3)
|
2007
|
231,243 | - | - | 53,329 | - | - | - | 284,572 | |||||||||||||||||||||||||
Mary
Lay
|
||||||||||||||||||||||||||||||||||
Interim
Chief
|
2008
|
77,903 | - | - | - | - | - | - | 77,903 | |||||||||||||||||||||||||
Financial Officer(4)
|
||||||||||||||||||||||||||||||||||
Lynne
Silverstein,
|
||||||||||||||||||||||||||||||||||
Former
Executive
|
2007
|
105,000 | - | 25,000 | - | - | - | - | 130,000 | |||||||||||||||||||||||||
Vice President (5)
|
||||||||||||||||||||||||||||||||||
James
Schafer,
|
||||||||||||||||||||||||||||||||||
Former
Director of
|
2007
|
67,051 | - | 37,500 | - | - | - | - | 104,551 | |||||||||||||||||||||||||
Manufacturing
of
|
||||||||||||||||||||||||||||||||||
SurgiCount(6)
|
||||||||||||||||||||||||||||||||||
Milton
“Todd” Ault
|
||||||||||||||||||||||||||||||||||
III,
Former Chief
|
2007
|
- | - | 26,100 | - | - | - | - | 26,100 | |||||||||||||||||||||||||
Executive Officer
(7)
|
|
(1)
|
Mr.
Horne resigned October 13, 2008.
|
|
(2)
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Mr.
Adams resigned January 5, 2009.
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|
(3)
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Mr.
Bertran resigned January 6, 2009.
|
|
(4)
|
Ms.
Lay was appointed Interim Chief Financial Officer on October 13,
2008
|
|
(5)
|
Ms.
Silverstein resigned October 15,
2007
|
|
(6)
|
Mr.
Schafer resigned August 8, 2007
|
|
(7)
|
Mr.
Ault resigned January 5, 2007
|
|
(8)
|
Represents
the dollar amount recognized for financial reporting purposes of
restricted stock grants, warrant grants, and stock options awarded in 2008
and 2007, respectively, computed in accordance with SFAS
123(R).
|
|
(9)
|
Primarily
represents car payments paid by the
Company
|
Estimated Future Payouts
Under Non-Equity Incentive
Plan Awards
|
Estimated Future Payouts
Under Equity Incentive Plan
Awards
|
All
Other
Stock
|
||||||||||||||||||||||||||||||||||||||||
Name
|
Grant Date
|
Threshold
($)
|
Target
($)
|
Maximum
($)
|
Threshold
($)
|
Target
($)
|
Maximum
($)
|
Awards:
Number
of
Shares
of
Stocks
or
Units(#)
|
All Other
Option
Awards:
Number of
Securities
Underlying
Options(#)
|
Exercise
or Base
Price of
Option
Awards
($/Sh)
|
Grant
Date
Fair
Value
of Stock
and
Option
Awards
|
|||||||||||||||||||||||||||||||
Milton
|
||||||||||||||||||||||||||||||||||||||||||
“Todd”
|
2007
|
0 | 0 | 0 | 0 | 0 | 0 | 15,000 | 0 | 0 | 26,100 | |||||||||||||||||||||||||||||||
Ault
|
||||||||||||||||||||||||||||||||||||||||||
James
|
2007
|
0 | 0 | 0 | 0 | 0 | 0 | 25,000 | 0 | 0 | 37,500 | |||||||||||||||||||||||||||||||
Schafer
|
||||||||||||||||||||||||||||||||||||||||||
William
|
2008
|
0 | 0 | 0 | 0 | 0 | 0 | 0 | 471,600 | $ | 1.52 | 469,653 | ||||||||||||||||||||||||||||||
B.
Horne
|
2007
|
0 | 0 | 0 | 0 | 0 | 0 | 18,019 | 24,000 | $ | 2.00 | 69,855 | ||||||||||||||||||||||||||||||
Bill
|
2008
|
0 | 0 | 0 | 0 | 0 | 0 | 0 | 650,000 | $ | 1.25 | 646,381 | ||||||||||||||||||||||||||||||
Adams
|
2007
|
0 | 0 | 0 | 0 | 0 | 0 | 0 | 24,000 | $ | 2.00 | 36,917 | ||||||||||||||||||||||||||||||
Lynne
|
2007
|
0 | 0 | 0 | 0 | 0 | 0 | 20,000 | 0 | 0 | 25,000 | |||||||||||||||||||||||||||||||
Silverstein
|
||||||||||||||||||||||||||||||||||||||||||
Richard
|
2008
|
0 | 0 | 0 | 0 | 0 | 0 | 0 | 425,000 | 1.25 | 421,788 | |||||||||||||||||||||||||||||||
Bertran
|
2007
|
0 | 0 | 0 | 0 | 0 | 0 | 0 | 50,000 | 1.39 | 53,329 |
OPTION AWARDS
|
STOCK AWARDS
|
|||||||||||||||||||
Name
|
Number of
Securities
Underlying
Unexercised
Options (#)
Exercisable
|
Option
Exercise
Price
($)
|
Option
Expiration
Date
|
Number of Shares or
Units of Stock That Have
Not Vested (#)
|
Market Value of Shares or
Units of Stock That Have Not
Vested
($)
|
|||||||||||||||
300,000 | 1.25 |
06/12/2018
|
||||||||||||||||||
Bill
Adams
|
87,500 | 1.25 |
04/24/2015
|
— | — | |||||||||||||||
20,000 | 2.00 |
03/16/2012
|
||||||||||||||||||
4,000 | 2.00 |
11/26/2012
|
||||||||||||||||||
Lynne
Silverstein
|
— | — | — | — | — | |||||||||||||||
175,000 | 1.25 |
06/12/2018
|
||||||||||||||||||
Richard
Bertran
|
50,000 | 1.39 |
10/02/2017
|
— | — | |||||||||||||||
62,500 | 1.25 |
04/24/2015
|
— | — |
Name
|
Fees Earned
or Paid in
Cash ($)
|
Stock
Awards
($) (7)
|
Option
Awards
($) (7)
|
Non-Equity
Incentive Plan
Compensation
($)
|
Change in Pension
Value and
Nonqualified
Deferred
Compensation
Earnings ($)
|
All Other
Compensation
($)
|
Total ($)
|
|||||||||||||||||||||
Arnold
Spangler(1)
|
- | 134,750 | - | - | - | - | 134,750 | |||||||||||||||||||||
Herbert
Langsam
|
- | - | - | - | - | - | - | |||||||||||||||||||||
David
Augustine
(2)
|
20,000 | - | - | - | - | - | 20,000 | |||||||||||||||||||||
Wenchen
Lin
(3)
|
- | - | - | - | - | - | - | |||||||||||||||||||||
John Francis (4)
|
- | - | - | - | - | - | - | |||||||||||||||||||||
Steven H. Kane (5)
|
125,000 | - | - | - | - | - | 125,000 | |||||||||||||||||||||
Louis
Glazer, M.D., Ph.G.,
|
- | - | - | - | - | - | - | |||||||||||||||||||||
William Adams(6)
|
- | - | - | - | - | - | - |
|
(1)
|
Mr.
Spangler resigned as a director on June 11, 2008 and does not currently
serve on the Board or as an
Officer.
|
|
(2)
|
Mr.
Augustine was appointed as a director effective January 24, 2007 and
resigned March 10, 2009. The $20,000 in director’s fees were
accrued but not paid.
|
|
(3)
|
Mr.
Lin was appointed as a director effective March 28,
2007.
|
|
(4)
|
Mr.
Francis was appointed as a director effective November 26,
2007.
|
|
(5)
|
Mr.
Kane was appointed as a director effective February 7,
2008. The $125,000 in director’s fees were accrued but not
paid.
|
|
(6)
|
Mr.
Adams was appointed as a director effective June 11, 2008 and resigned
January 5, 2009.
|
|
(7)
|
Represents
the dollar amount recognized for financial reporting purposes of
restricted stock grants and stock options awarded, computed in accordance
with SFAS 123(R).
|
Plan category
|
Number of securities
to be issued upon
exercise of
outstanding options,
warrants and rights
|
Number of shares of
restricted common
stock issued
|
Weighted average
exercise price of
outstanding options,
warrants and rights
|
Number of securities
remaining available for
future issuance under
equity compensation
plans (excluding
securities reflected in
column (a) and (b)
|
||||||||||||
(a)
|
(b)
|
(c)
|
(d)
|
|||||||||||||
Equity
compensation plans approved
by security holders
|
1,627,000 | 849,010 | $ | 3.49 | 23,990 | |||||||||||
Equity
compensation plans not
approved by security holders
|
-0- | -0- | -0- | -0- | ||||||||||||
Total
|
1,627,000 | 849,010 | -0- | 23,990 |
Beneficial Ownership
|
||||||||||||||||
Name and Address of Beneficial Owner
|
Number of Shares
of Common Stock (1)
|
Percent
of Class
|
Number of Shares
of Preferred Stock (2)
|
Percent
of Class
|
||||||||||||
Greater than 5% Beneficial
Owners:
|
||||||||||||||||
Compass
Management Limited
795
Ridge Lake Blvd., Suite 106
Memphis,
TN 38120
|
2,600,000 | (3) | 14.3 | % | — | — | ||||||||||
Francis
Capital Management, LLC
429
Santa Monica Blvd., Suite 320
Santa
Monica, CA 90401
|
2,590,200 | (4) | 14.0 | % | — | — | ||||||||||
Radisson
Trading Company
No.
87 Lang 58
Rong
Hua West Rd., Shanghai 201103 China
|
1,280,000 | (5) | 7.2 | % | — | — | ||||||||||
DSAM
Fund LP
222
Broadway, 6th
Floor
New
York, NY 10038
|
1,114,000 | (6) | 6.3 | % | — | — | ||||||||||
A
Plus International, Inc.
5138
Eucalyptus Avenue
Chino,
California 91710
|
1,100,000 | (7) | 6.3 | % | — | — | ||||||||||
Alan
E. Morelli
225
Mantua Road
Pacific
Palisades, California 90272
|
976,351 | (8) | 5.4 | % | — | — | ||||||||||
Charles
J. Kalina III
93
Grove Street
Summerville,
NJ 08876
|
910,497 | (9) | 5.2 | % | — | — | ||||||||||
Melanie
Glazer
1800
Century Park East, Ste. 200
Los
Angeles, California 90067
|
345,293 | (10) | 2.0 | % | 8,150 | 74.4 | % | |||||||||
Zealous
Partners LLC
1800
Century Park East, Ste. 200
Los
Angeles, California 90067
|
58,500 | (11) | * | 2,600 | 23.7 | % | ||||||||||
Directors and Named Executive
Officers:
|
||||||||||||||||
John
P. Francis
|
2,590,200 | (4) | 14.0 | % | — | — | ||||||||||
Wenchen
Lin
|
1,100,000 | (7) | 6.3 | % | — | — | ||||||||||
Brian
Stewart
|
538,000 | (12) | 3.1 | % | — | — | ||||||||||
Herbert
Langsam
|
179,153 | (13) | 1.0 | % | — | — | ||||||||||
Louis
Glazer, M.D., Ph.G
|
180,000 | (14) | 1.0 | % | — | — | ||||||||||
Steven
Kane
|
158,333 | (15) | * | — | — | |||||||||||
All
directors and named executive officers
as a group (6 persons)
|
4,745,686 | 26.3 | % | — | — |
(1)
|
Applicable
percentage ownership is based on 17,197,872 shares of common stock
outstanding as of March 31, 2009, together with securities exercisable or
convertible into shares of common stock within 60 days of March 31, 2009
for each security holder. Beneficial ownership is determined in accordance
with the rules of the Securities and Exchange Commission and generally
includes voting or investment power with respect to securities. Shares of
common stock that a person has the right to acquire beneficial ownership
of upon the exercise or conversion of options, convertible stock, warrants
or other securities that are currently exercisable or convertible or that
will become exercisable or convertible within 60 days of March 31, 2009
are deemed to be beneficially owned by the person holding such securities
for the purpose of computing the percentage of ownership of such person,
but are not treated as outstanding for the purpose of computing the
percentage ownership of any other
person.
|
(2)
|
Applicable
percentage ownership is based on 10,950 shares of Series A Convertible
Preferred Stock outstanding. Each share of Series A Convertible Preferred
Stock is convertible into 22.5 shares of common stock. Except as otherwise
required by law, each holder of Series A Convertible Preferred Stock is
entitled to vote on all matters submitted to our stockholders, voting
together with the holders of common stock as a single class, with each
shares of Series A Convertible Preferred Stock entitled to one vote per
share.
|
(3)
|
Consists
of: (a) 1,600,000 shares of common stock; and (b) warrants for purchase of
1,000,000 shares of common stock.
|
(4)
|
Consists
of: (a) 1,272,000 shares of common stock; and (b) warrants for purchase of
1,318,200 shares of common stock. John Francis has voting and
investment control over the securities held by Francis Capital Management,
LLC.
|
(5)
|
Consists
of: (a) 800,000 shares of common stock; and (b) warrants for purchase of
480,000 shares of common stock.
|
(6)
|
Consists
of: (a) 640,000 shares of common stock; and (b) warrants for purchase of
474,000 shares of common stock.
|
(7)
|
A
Plus International, Inc. owns 800,000 shares of common stock and
warrants to purchase 300,000 shares of common stock.
Mr. Lin has the power to vote and direct the disposition of all
securities owned by A Plus International,
Inc.
|
(8)
|
Consists
of warrants to purchase 976,351 shares of common
stock.
|
(9)
|
Consists
of: (a) 460,936 shares of common stock; and (b) warrants to purchase
449,561 shares of common stock.
|
(10)
|
Consists
of: (a) 275,072 shares of common stock; (b) warrants for purchase of
70,221 shares of common stock; and (c) 183,375 shares of common stock
issuable upon conversion of 8,150 shares of Series A Convertible
Preferred Stock.
|
(11)
|
Consists
of: (a) 58,500 shares of common stock issuable upon conversion of 2,600
shares of Series A Convertible Preferred
Stock.
|
(12)
|
Consists
of: (a) 130,000 shares of common stock; (b) warrants to purchase 348,000
shares of common stock; and (c) 60,000 shares of common stock issuable
upon exercise of stock options with an exercise price of $5.27 per share
that expire March 30, 2015.
|
(13)
|
Consists
of: (a) 79,653 shares of common stock; (b) 15,000 shares of common stock
issuable upon exercise of stock options with an exercise price of $4.30
per share that expire on January 25, 2016; (c) 19,500 shares of common
stock issuable upon exercise of stock options with an exercise price of
$5.27 per share that expire on March 30, 2015; and (d) warrants for
purchase of 65,000 shares of common
stock.
|
(14)
|
Consists
of: (a) 90,000 shares of common stock issuable upon exercise of stock
options with an exercise price of $4.10 per share that expire on January
31, 2016; and (b) 90,000 shares of common stock issuable upon exercise of
stock options with an exercise price of $5.27 per share that expire on
March 30, 2015.
|
(15)
|
Consists
of warrants for purchase of 158,333 shares of common
stock.
|
Fiscal Year Ended
December 31, 2008
|
Fiscal Year Ended
December 31, 2007
|
|||||||
Audit
Fees
|
$ | 195,000 | $ | 169,000 | ||||
Audit-Related
Fees
|
$ | 4,000 | $ | — | ||||
Tax
Fees
|
$ | 13,000 | $ | 9,000 | ||||
All
Other Fees
|
$ | — | $ | — | ||||
Total
Fees
|
$ | 212,000 | $ | 178,000 |
|
(3)
|
Exhibits
|
10.1
|
Code
of Conduct
|
31.1
|
Certification
of the Chief Executive Officer pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002.
|
31.2
|
Certification
of the Chief Financial officer pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002.
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PATIENT
SAFETY TECHNOLOGIES, INC.
|
|||
April
30, 2009
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By:
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/s/
Mary A. Lay
|
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Name:
|
Mary
A. Lay
|
||
Title:
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Interim
Chief Financial Officer
|
Signature
|
Title
|
Date
|
||
/s/
Steven H. Kane
|
Chairman
of the Board
|
April
30, 2009
|
||
Steven
H. Kane
|
||||
/s/
David I. Bruce
|
Chief
Executive Officer, Director
|
April
30, 2009
|
||
David
I. Bruce
|
||||
/s/
Wenchen Lin
|
Director
|
April
30, 2009
|
||
Wenchen
Lin
|
||||
/s/
Louis Glazer, M.D., Ph.G.
|
Director
|
April
30, 2009
|
||
Louis
Glazer, M.D., Ph.G.
|
||||
/s/
Herbert Langsam
|
Director
|
April
30, 2009
|
||
Herbert
Langsam
|